Lecture 6: Gluteal region and hip joint Flashcards
What is the cutaneous innervation of the upper medial quadrant of the buttock
posterior rami of L1-L3 and S1-S3
What is the cutaneous innervation of the upper lateral quadrant of the buttock?
iliohypogastric (L1)
anterior rami T12
What is the cutaneous innervation of the lower medial quadrant of the buttock?
Branches from the posterior femoral nerves (s1-s3 anterior rami)
What is the cutaneous innervation of the lower lateral quadrant of the buttock?
Branches of the anterior rami from the lateral femoral cutaneous nerve (s2-s3)
What are the structures that pass through the greater sciatic foramen? (PPPSSIN)
PPPSSIN Piriformis muscle Pudendal nerve Posterior pudendal artery and vein Super/inf gluteal vessels and nerves Sciatic nerve Internal pudendal artery Nerves to the quadratus femoris and obturator internees
What are the structures passing through the lesser sciatic foramen?
(NIPT)
NIPT Nerve to the obturator internas Internal pudendal vessels Pudendal nerve Tendon of the obturator internus
What are the ligaments of the articulated pelvis?
- obturator membrane
- sacrotuberous
- sacrospinous
- sacroiliac
- iliolumbar
What is the greater sciatic foramen a passageway for?
passageway for the structures that are entering or leaving the pelvis
What is the lesser sciatic foramen a passageway for?
structures that are entering or leaving the perineum
What are the 4 muscles of the gluteal group and what do they have in common?
- gluteus maximus
- gluteus medius
- gluteus minimus
- tensor fascia latae
they are all abductors that prevent the pelvis and the body from falling tot he unsupported side when one foot is off of the ground
What makes up the lateral compartment of the gluteal group?
gluteus medius, gluteus minimus, and the tensor fascia later
What makes up the posterior compartment of the gluteal group?
gluteus maximus
What is the function of the 6 deep external rotators?
rotate the unsupported side of pelvis forward to increase stride
Describe the gluteus maximus….
- origin
- insertion
- action
- innervation
- nerve supply
part of the posterior gluteal compartment
- posterior gluteal line of the ilium, surfaces of the sacrum, coccyx, sacrotuberous ligament
- gluteal tuberosity and iliotibial tract
- -extends and externally rotates the thigh
- extends the pelvis when lower libs flexed
- needed for rising from a seated position, climbing, running, and jumping - inferior gluteal nerve (L5, S1-S2)
- inferior gluteal artery from the internal iliac
Describe the gluteus medius muscles in terms of
- origin
- insertion
- action
- innervation
- blood supply
- ilium between the anterior and posterior gluteal lines and gluteal aponeurosis
- anterior border of the greater trochanter
- hip abduction with a free swinging limb
- superior gluteal nerve
- superior gluteal artery from the internal iliac